Dr Pervushkin · Nizhny Novgorod

Pelvic pain

Pelvic pain needs careful assessment because joints, muscles, nerves and internal organs share the same region, and care depends on the established cause.

Understanding the concern

What to know before booking

Pelvic pain may follow injury, childbirth, surgery or prolonged load, or accompany gynaecological, urological, bowel and neurological conditions. Even when chronic, inflammation and other organic causes should be excluded first.

The physician clarifies location and pattern, and any relationship to movement, the menstrual cycle, urination or bowel function. Examination stays within the declared medical service; intimate procedures are not performed without separate informed consent.

Once specialist disease has been excluded or is controlled, work may focus on mobility of the pelvis, sacrum and hips, breathing and safe return to activity, coordinated with primary treatment.

Reasons to consult

Common concerns

This list helps orientation but does not establish a diagnosis or confirm an indication for osteopathic care.

discomfort in the sacrum, coccyx, groin or lower abdomen
pain after childbirth, surgery or a fall
symptoms aggravated by sitting, walking or exercise
a sense of asymmetry or restricted hip movement
persistent pain after appropriate specialist investigations

Initial consultation

How assessment works

Assessment and next steps depend on history, existing investigations and the condition on the day.

01
History including surgery, pregnancy, trauma and specialist diagnoses.
02
Review of movement-related symptoms and functional assessment of the lumbopelvic region.
03
Review of available gynaecology, urology, colorectal or neurology reports.
04
Agreement on goals and criteria for renewed specialist referral.

Team approach

Practitioners who may help

Roles are kept distinct: medical diagnosis and treatment are not replaced by wellbeing or consultation practices.

Clinic practitioner

Eduard Pervushkin

Assesses the musculoskeletal functional state and uses osteopathic techniques only after contraindications are excluded.

Qualifications and credentials

Clinic practitioner

Evgeny Averin

Works with pelvic and hip movement and myofascial chains after appropriate specialist assessment.

Qualifications and credentials

Clinic practitioner

Elena Pavlova

Supports calm breathing, body awareness and gentle activity without provoking pain.

Qualifications and credentials

Clinic practitioner

Elena Sharonova

May help explore links between emotional load, guarding and fear of movement after specialist assessment; she does not treat gynaecological, urological or colorectal causes of pelvic pain.

Qualifications and credentials

Urgent care

Do not wait for a routine visit

Seek urgent medical care or call emergency services for:

!sudden pain with fainting, cold sweat or marked weakness
!pain with possible pregnancy, bleeding or high fever
!acute urinary retention, blood in urine or increasing abdominal pain

Patient questions

Key questions

Should I see a gynaecologist or urologist first?+

If pain relates to the cycle, discharge, urination, fever or is new, specialist assessment takes priority. An administrator cannot diagnose by phone.

Can I attend after childbirth?+

Yes, after postnatal obstetric review and where there are no complications. Timing and load are agreed individually.

Are internal techniques used?+

The consultation format, examination boundaries and each technique are explained in advance. Any intervention requires voluntary informed consent and may be declined.

Have a question?

We will help you choose the right practitioner

Call the administrator or open Telegram or MAX. Please do not send medical records through public channels.

+7 (910) 395-29-70